Individual
JONATHAN CARRERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 SAINT BERNARD ST, THIBODAUX, LA 70301-6549
(985) 446-0506
Mailing address
101 SAINT BERNARD ST, THIBODAUX, LA 70301-6549
(985) 446-0506
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD.311946
LA
207W00000X
Ophthalmology Physician
Primary
T-2928
MS
Other
Enumeration date
04/07/2015
Last updated
11/22/2022
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